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NPI Code Detail

MEDICARE: KRISTIN M HIGGINS

MEDICARE: KRISTIN M HIGGINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1669024089
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN M HIGGINS
Provider Business Mailing Address
First Line : 64 FOREST ST
Second Line :
City : CLINTON
State : MA
Zip : 01510-1727
Country : US
Telephone Number : 978-660-3657
Fax Number :
Provider Business Practice Location Address
First Line : 64 FOREST ST
Second Line :
City : CLINTON
State : MA
Zip : 01510-1727
Country : US
Telephone Number : 978-660-3657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2019
Last Update Date : 07/16/2019

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Directions to “ KRISTIN M HIGGINS ” Practice Location

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